Individual provider Active NPI

Aria Fazlinejad, D.O

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1992151757
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5151009908 Issued in MI
Practice address
10624 S Eastern Ave # a-955
Henderson, NV 89052-2982
Phone
(702) 800-5393
Fax
(702) 407-7016
NPI assigned
May 11, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5151009908 MI Primary

Addresses

Primary practice location

10624 S Eastern Ave # a-955
Henderson, NV 89052-2982

Mailing address

10624 S Eastern Ave # a-955
Henderson, NV 89052-2982
Phone (702) 800-5393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200102002556 NV Practitioner - Family PracticePractitioner - Internal Medicine 2062705429 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Limitless Medical Group Tacvorian Fazlinejad PLLCGroup PAC ID 6901246446, 2 clinicians

Practice addresses (Care Compare)

9333 W Sunset Rd
Suite a
Las Vegas, NV 89148-4845
Phone (702) 358-0440

Merit-based Incentive Payment System (MIPS)

Final score
61.15 of 100Reported as group
Quality
36.67
Improvement activities
40
Cost
61.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5151009908MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Hospitalists LLP Internal Medicine CurrentSince Jun 15, 2020 Accepting new patients
Limitless Medical Group Tacvorian Fazlinejad PLLC CurrentSince Mar 9, 2024 Accepting new patients
Platinum Hospitalists LLP Internal Medicine CurrentSince Jun 15, 2020 Accepting new patients
Nevada Acute Medical Services-Scherr 1 PC CurrentSince Oct 7, 2019 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

10624 S Eastern Ave
Ste A995
Henderson, NV 89052

10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

6545 S Fort Apache Rd
Ste 135
Las Vegas, NV 89148

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

9333 W Sunset Rd
Ste A
Las Vegas, NV 89148
Phone (702) 968-6259

7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653

Interoperability endpoints

  • Direct secure messaging: afazlinejad@lmg-nv.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1992151757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE # A-955",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522982",
            "telephone_number": "702-800-5393",
            "fax_number": "702-407-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE # A-955",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522982",
            "telephone_number": "702-800-5393",
            "fax_number": "702-407-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZLINEJAD",
        "first_name": "ARIA",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-11",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5151009908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.